Individual
KRISTIE ROSE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6019 CTH D, EAGLE RIVER, WI 54521-9289
(715) 661-1789
Mailing address
6019 CTH D, EAGLE RIVER, WI 54521-9289
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WI
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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